The so-called "botax," which could generate $6 billion over 10 years, would apply to "any procedure that is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or diseases."

The Web site stopbotax.org, founded by plastic surgeons, is gathering signatures of opponents, hoping the proposal gets nipped and tucked as the controversial health care bill is debated.

"The tax directly affects me," said Irma Cadiz, a 33-year-old South Bronx mother of two saving to pay for a tummy tuck with tips she earns as a hair stylist.

"I want to get the surgery. It will run from $6,000 to $9,000. Where do you draw the line? If I have a heart attack, will they tax that, too?" Cadiz asked.

Greenberg said it's not just a tax on the rich. "They are saving every penny for themselves to look and feel better," he said about his middle-class patients who ante up the $7,000 he charges for breast enlargements.